PALS QUESTIONS AND ANSWER
1. Two providers are performing CPR on a pediatric patient in cardiac arrest. Which chest compression rate is
correct?: 100-120 compressions per minute
2. A provider is using a BVM to administer ventilations during CPR. The provider should make sure that each
ventilation has which characteristics?: - Lasts about 1 second and delivers an appropriate volume to make the chest
begin to rise
3. The Pediatric In-Hospital Cardiac Chain of Survival and the Pediatric
Out-of-Hospital Cardiac Chain of Survival each contain how many links?: 6
4. The healthcare provider uses which acronym when completing the PALS primary assessment on a
pediatric patient?: ABCDE
5. While performing a rapid assessment on a child, the nurse notes skin mottling and life-threatening
bleeding. Which action should the nurse take first?: Attempt to stop the bleeding
6. During CPR in a cardiac arrest situation, the pediatric patient was success- fully intubated with an
endotracheal tube. At which rate should the respiratory therapist deliver ventilations?: 1 ventilation every 2 to 3
seconds
7. The provider would use pediatric AED pads for which children?: 6-year-old weighing 55 lbs (25 kg)
2-year-old weighing 33 lbs (15 kg)
7-year-old weighing 50 lbs (23 kg)
8. During a resuscitation event, the team leader instructs the medication team member to prepare IV
epinephrine. The medication member prepares med- ication and approaches the patient for administration.
Following closed-loop communication, which is the best action by the team leader to perform prior to the
administration of medication?: Ask for feedback to ensure the medication member received the message.
9. While performing CPR on a 7-month-old infant, the team leader reminds the compressor to maintain
appropriate chest compression depth. The team mem- ber understands compressions should be delivered at about
which depth?: - 1½ inches
10.While conducting a rapid assessment, the healthcare provider notes the patient appears unresponsive.
What is the provider's next initial action?: - Check for responsiveness.
11.Two healthcare providers are performing CPR on a child. The providers correctly deliver compressions
and ventilations at which rate?: 15:2
12.Which characteristics contribute to an effective, high-performance PALS team?: The team practices mock
codes together regularly.
The team holds debriefing sessions after each resuscitation event.
, PALS QUESTIONS AND ANSWER
13.The pediatric clinical team is caring for a pediatric patient in cardiac arrest. During the resuscitation, the
team leader notes changes in the patient's ECG rhythm and physical appearance. After quickly evaluating these
new findings, the leader determines a new course of action. Which technique is the leader demonstrating?: Critical
thinking
14.During single-provider CPR for an infant, what is the preferred hand posi- tion?: Encircling thumbs
technique
15.A pediatric nurse is preparing to deliver chest compressions to a child in cardiac arrest. In which location
should the nurse's hands be placed?: Center of the chest on the lower half of the sternum
16.After participating in a resuscitation event in which the pediatric patient did not survive, you are feeling
very stressed and having difficulty with daily activities. What is the best action to help you cope with the stress?:
Consider a referral to a qualified mental health professional
17.Both the Pediatric In-Hospital Cardiac Chain of Survival and the Pediatric Out-of-Hospital Cardiac Chain
of Survival include a link emphasizing the importance of continued followed-up during the recovery process.
True or False?: True
18.You are delivering ventilations with a bag-valve-mask resuscitator (BVM) to a 4-year-old child. When
performing high-quality CPR, which actions are correct?: Ensure that the chest begins to rise.
Depress the bag about halfway to deliver an appropriate volume. Deliver smooth, effortless ventilations
that last about 1 second each.
The person making the seal should stand behind the patient's head and open the airway to a slightly past neutral position.
19.You need to obtain intraosseous (IO) access. Identify the preferred site in children and infants.: The anterior-
proximal tibia
20.Which airway adjunct device is most appropriate as an initial intervention for a semi-conscious patient who
can protect their airway and requires assis- tance to support airway patency?: A nasopharyngeal airway (NPA)
21.A patient has been successfully intubated with an endotracheal tube. How should you verify correct
placement?: Observe for bilateral chest rise. Auscultate both lungs and over the epigastrium.
Use capnography or an airway placement confirmation device.
22.The PALS team decides to place an advanced airway in a patient who is in cardiac arrest. How should
ventilations be provided following placement of the advanced airway?: 1 ventilation every 2 to 3 seconds
23.Which of the following assessments could be made during the PAT?: The patient is exhibiting increased work
of breathing.
1. Two providers are performing CPR on a pediatric patient in cardiac arrest. Which chest compression rate is
correct?: 100-120 compressions per minute
2. A provider is using a BVM to administer ventilations during CPR. The provider should make sure that each
ventilation has which characteristics?: - Lasts about 1 second and delivers an appropriate volume to make the chest
begin to rise
3. The Pediatric In-Hospital Cardiac Chain of Survival and the Pediatric
Out-of-Hospital Cardiac Chain of Survival each contain how many links?: 6
4. The healthcare provider uses which acronym when completing the PALS primary assessment on a
pediatric patient?: ABCDE
5. While performing a rapid assessment on a child, the nurse notes skin mottling and life-threatening
bleeding. Which action should the nurse take first?: Attempt to stop the bleeding
6. During CPR in a cardiac arrest situation, the pediatric patient was success- fully intubated with an
endotracheal tube. At which rate should the respiratory therapist deliver ventilations?: 1 ventilation every 2 to 3
seconds
7. The provider would use pediatric AED pads for which children?: 6-year-old weighing 55 lbs (25 kg)
2-year-old weighing 33 lbs (15 kg)
7-year-old weighing 50 lbs (23 kg)
8. During a resuscitation event, the team leader instructs the medication team member to prepare IV
epinephrine. The medication member prepares med- ication and approaches the patient for administration.
Following closed-loop communication, which is the best action by the team leader to perform prior to the
administration of medication?: Ask for feedback to ensure the medication member received the message.
9. While performing CPR on a 7-month-old infant, the team leader reminds the compressor to maintain
appropriate chest compression depth. The team mem- ber understands compressions should be delivered at about
which depth?: - 1½ inches
10.While conducting a rapid assessment, the healthcare provider notes the patient appears unresponsive.
What is the provider's next initial action?: - Check for responsiveness.
11.Two healthcare providers are performing CPR on a child. The providers correctly deliver compressions
and ventilations at which rate?: 15:2
12.Which characteristics contribute to an effective, high-performance PALS team?: The team practices mock
codes together regularly.
The team holds debriefing sessions after each resuscitation event.
, PALS QUESTIONS AND ANSWER
13.The pediatric clinical team is caring for a pediatric patient in cardiac arrest. During the resuscitation, the
team leader notes changes in the patient's ECG rhythm and physical appearance. After quickly evaluating these
new findings, the leader determines a new course of action. Which technique is the leader demonstrating?: Critical
thinking
14.During single-provider CPR for an infant, what is the preferred hand posi- tion?: Encircling thumbs
technique
15.A pediatric nurse is preparing to deliver chest compressions to a child in cardiac arrest. In which location
should the nurse's hands be placed?: Center of the chest on the lower half of the sternum
16.After participating in a resuscitation event in which the pediatric patient did not survive, you are feeling
very stressed and having difficulty with daily activities. What is the best action to help you cope with the stress?:
Consider a referral to a qualified mental health professional
17.Both the Pediatric In-Hospital Cardiac Chain of Survival and the Pediatric Out-of-Hospital Cardiac Chain
of Survival include a link emphasizing the importance of continued followed-up during the recovery process.
True or False?: True
18.You are delivering ventilations with a bag-valve-mask resuscitator (BVM) to a 4-year-old child. When
performing high-quality CPR, which actions are correct?: Ensure that the chest begins to rise.
Depress the bag about halfway to deliver an appropriate volume. Deliver smooth, effortless ventilations
that last about 1 second each.
The person making the seal should stand behind the patient's head and open the airway to a slightly past neutral position.
19.You need to obtain intraosseous (IO) access. Identify the preferred site in children and infants.: The anterior-
proximal tibia
20.Which airway adjunct device is most appropriate as an initial intervention for a semi-conscious patient who
can protect their airway and requires assis- tance to support airway patency?: A nasopharyngeal airway (NPA)
21.A patient has been successfully intubated with an endotracheal tube. How should you verify correct
placement?: Observe for bilateral chest rise. Auscultate both lungs and over the epigastrium.
Use capnography or an airway placement confirmation device.
22.The PALS team decides to place an advanced airway in a patient who is in cardiac arrest. How should
ventilations be provided following placement of the advanced airway?: 1 ventilation every 2 to 3 seconds
23.Which of the following assessments could be made during the PAT?: The patient is exhibiting increased work
of breathing.
